Carl J Shealy MD

NPI 1891706917 - Family Medicine - 207Q00000X

NPI Details
NPI 1891706917
Gender Male
Enumeration Date 08/11/2006
Last Updated 05/13/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
LEXINGTON SC, 29072-2208, US
Phone (803) 785-4747
Fax (803) 785-4750
Business Location
WEST COLUMBIA SC, 29169-3439, US
Phone (803) 785-4747
Fax (803) 785-4750
Taxonomy Code 207Q00000X
License State South Carolina
License Number 14977
Remove 1891706917 NPI Number

According to our database, Dr. Carl J Shealy MD NPI is 1891706917, taxonomy code is 207Q00000X and license number is 14977, license state is located at South Carolina. Carl J Shealy MD physically located at 2006 Augusta Hwy, Lexington SC, 29072-2208. NPI Number Carl J Shealy MD has the Individual type.

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1891706917 NPI number is provided on an as is basis without warranty of any kind. 1891706917 is maintained by the National Plan & Provider Enumeration System. The contents of Carl J Shealy MD are for informational purposes only.